Ultrasound diagnosis of ectopic pregnancy : Prospective study about 200 cases

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Published May 6, 2013
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Vol. 91 No. 4 (2013): Issue Apr 2013

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N. Mathlouthi
O. Slimani
A. Fatnassi
R. Ben Temime
T. Makhlouf
L. Attia
A. Chachia

Abstract

Background: the ectopic pregnancy is responsible for 10% of maternal mortality in the first quarter. Progress in transvaginal ultrasound; have revolutionized the diagnosis of ectopic pregnancy, allowing her diagnosis earlier.
aim: To evaluate the contribution of ultrasonography in the diagnosis of ectopic pregnancy.
methods: A prospective study about 200 patients hospitalized for ectopic pregnancy between July 2009 and July 2011. All patients underwent a transvaginal ultrasound.
results: The average age was 25.4 years. The study of the endometrium showed an endometrial thickness of 10.1mm in 152 cases. An haematosalpinx was observed in 71% of cases. The average size was 30.5mm. Hemoperitoneum was observed in 64.5% of cases. An ectopic gestational sac with embryo was found in 9 cases (4.5%). In 51 cases no pathological sonographic signs were noted.
Conclusion: The transvaginal ultrasound is the method of choice in the diagnosis of ectopic pregnancy. However the use of BHCG is still necessary.

Keywords:

Ectopic pregnancy, transvaginal ultrasound, haematosalpinx

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